Active NPI
Monyca R Harris-Champion, O.T.
- Occupational Therapist
- Franklin, TN
National Provider Identifier
1073514501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3073
- Practice address
- 324 Cool Springs Blvd
Franklin, TN 37067-1631 - Phone
- (615) 791-7257
- Fax
- (615) 591-6336
- NPI assigned
- Aug 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3073 | TN | Primary |
Addresses
Primary practice location
324 Cool Springs Blvd
Franklin, TN 37067-1631
Mailing address
324 Cool Springs Blvd
Franklin, TN 37067-1631
Phone (615) 791-7257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3656538 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3073 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Champion Healthcare LLC | Current | Accepting new patients | |
| Darryl Champion | Past | Accepting new patients |
Locations
324 N Maple St
Lebanon, TN 37087
Phone (615) 547-4205
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Contractor
- Lebanon, TN
- NPI 1508262247
-
- Radiologic Technologist
- Lebanon, TN
- NPI 1588970990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501113600000",
"number": "1073514501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 COOL SPRINGS BLVD",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370671631",
"telephone_number": "615-791-7257",
"fax_number": "615-591-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 COOL SPRINGS BLVD",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370671631",
"telephone_number": "615-791-7257",
"fax_number": "615-591-6336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS-CHAMPION",
"first_name": "MONYCA",
"middle_name": "R",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2017-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "3073",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3656538",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.